Individual
CAROLYN TERKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 E RANCHO VISTOSO BLVD, ORO VALLEY, AZ 85755-9106
(520) 825-4669
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(520) 825-4669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12132A
AZ
225200000X
Physical Therapy Assistant
160-006828
IL
225200000X
Physical Therapy Assistant
2247-19
WI
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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